Homestead_Carter _ ••
' -` STATE FORM 53564(U/610) TREASURER mpa(TAIA
APPROVED BY STATE BOARD or ACCOUNTS W% PRESCRIBE-7S BY THE DEPARTMENT OF LOCAL COSTAYMEVT FLVA`.fE IC 611.224.1
_ Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reedit the
• FILED benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
MAY 182011 g 2011 Taxpayer Name Location Address
.0 M -- Carter, David S/Michelle L
5696 E 250 S
,_GIBSON'COUNTY AUDITOR FRANCISCO IN 47649
223
David S/Michelle L Carter 1111111_1III mIII_ 1111119m III I .II1IIJI 11111. 1111:1VCIII10111I II
5696E 250 S
Francisco IN 47649-9067
111221'111I111IIIIII1II111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11 State Parcel Number Legal Description
26-13-19-101-000.464-004. SUGAR GROVE 8/21/37-49 PT SW SW 19
2 9.86 AC
J
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
o •FY Si ' 'fl flW� riMSlL" t, ' -
Ov.__ 1 First Middle Last
Day IN. Sr �a-r1R-r
Mailing Address(number and street.city.state,and ZIP code) Eraaame as property address
5696 e as-o S -Fp.-A- ac-L SLo I NJ 4 7 L741
Spouse First Middle Last
r n iche,(1E- _ Carte
Mailing Address s((Number and street,city,state,and ZIP code) 3-sGine as property address
J ._.-
PART 3: CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property.Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature� Date 1
da, CLAIM FOR HOMESTEAD PROPERTY TAX
x CREDIT /STANDARD DEDUCTION
State Form 5473 (132/1 -90) '
INSTRUCTIONS: See reverse side for filing instructions.
I (We) occupied as our pn! nclp aTp aloe of ri
Property Tax Credit is hereby claimed:
FICATION ST
tMVI j7 "049 /
yC41CX� ce rfy that -on the 1st dayfd6imlMfn , d9
:e the f Ing described real property for which a Homestead
I (We) owned ❑ Are buying under contract
tvlr '' 1::31
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County Township T ng Distric town, nship)
Parcel Number Legal Description
00
If any portion of the residential structure or the land not exq6hding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the prop rty utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES V
County I Township I County I Township
I hereby certify tqra-15-ove statements are true, correct and Signature
complete.
Ad reesss (Street, number, city, state and ZIP code)
0 of 8-7 FJ1tC Ci oco Qy ! J-�U-1 9 Ally
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD V NON - RESIDENTIAL
�J VALUE
Land not exceeding t (one) acre immediately
surrounding residential improvements
Other land
Total land - line fl) plus line (2)
Residential improvements Dwelling -
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 — Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
(2)
Sign re uditor ` A ^
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(3) -
(4)
-
(5)
N1 NA,
(6)
(7)
(8)
I hereby certify the above is true.
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
f'
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
Lesser of 112 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 — Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
Sign re uditor ` A ^
lJ �-C7—
�e Si n�d - /